Giant Perineal Keloids Treated with Radiotherapy
Author Information
Author(s): Kristin Jones, Clifton D. Fuller, Join Y. Luh, Craig C. Childs, Alexander R. Miller, Anthony W. Tolcher, Terence S. Herman, Charles R. Thomas Jr
Primary Institution: University of Texas Health Science Center- San Antonio
Hypothesis
Can post-surgical radiotherapy effectively treat giant perineal keloids?
Conclusion
Radiotherapy for keloids represents a safe and effective option for post-surgical keloid therapy, especially for patients with bulky or recurrent disease.
Supporting Evidence
- The patient had a history of recurrent keloids and was treated with surgical excision and radiotherapy.
- Radiotherapy was delivered to the scar bed to a total dose of 22 Gy over 11 daily fractions.
- The patient demonstrated local control and has remained free of local recurrence for more than 2 years.
Takeaway
Keloids are thick scars that can be really big and uncomfortable. This study shows that using radiation after surgery can help keep them from coming back.
Methodology
The patient underwent surgical excision followed by radiotherapy with a total dose of 22 Gy over 11 days.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 34-year-old African-American woman with a family history of keloids.
Digital Object Identifier (DOI)
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